SW8130516_CURRENT PERMIT_20220622

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 13 0 j6
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
ZDZZ 0 b 27.
YYYYMMDD

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
BRIAN WRENN
Director
June 22, 2022
GPM Southeast, LLC, Lessee
Attn: Donald Hassell, CFO
8565 Magellen Pkwy, Suite 400
Richmond, VA 23227
AND
NORTH CAROLINA
Environmental Quality
Sandbar Portfolio Owner, LLC, Current Property Owner
Attn: Marc Zahr, Member -Manager
125 South Wacker Drive, Suite 1220
Chicago, IL 60606
Subject: Permit Transfer under N.C.G.S. 143-214.7(c5) / Notice of Inspection /
Request for Permit Modification
Post -Construction Stormwater Management Permit No. SW8 130516
Handy Mart — Highway 53
Onslow County
Dear Messrs. Bassell and Zahr:
The Division of Energy, Mineral and Land Resources received a complete Permit Transfer Application on March
29, 2022, requesting to transfer ownership of the subject permit under the provisions of 15A NCAC
021-I.1045(l)(c) and N.C.G.S. 143-214.7(c5). Staff inspected the project on February 25, 2022, reviewed the
available documentation, and confirmed that the requirements of N.C.G.S. 143-214.7(c5) have been met,
including:
1. The successor -owner of the property has submitted a written request for the transfer of the permit.
Reference is made to the attached signed Permit Transfer Application form;
2. The current permit holder, Judson Pope LLC, has sold the property on which the permitted activity is
occurring.
3. The successor -owner, Sandbar Portfolio Owner, LLC, holds title to the property on which the permitted
activity is occurring or will occur. Reference is made to the Special Warranty deed in BK 56331 PG 379-
384, recorded on 12/02/2021 with Onslow County.
4. There will be no substantial change in the permitted activity.
5. The project is currently not in compliance with the terms and conditions of the state stormwater permit.
However, the successor -owner will be correcting the compliance issues following the schedule of
compliance documented in Attachment D, which includes the requirement to submit an application to
modify the permit to bring the project into compliance.
By signing the Permit Transfer Application and the Operation and Maintenance Agreement and providing the
schedule of compliance to correction of the deficiencies outlined in the enclosed inspection report, you have
accepted the responsibility for complying with the terms and conditions outlined in this permit. Since the
requirements of N.C.G.S. 143-214.7(c5) have been met, permit SW8 130516 has been transferred, updated, and
re -issued on June 22, 2022, as attached.
This permit remains effective until June 3, 2029 and does not supersede any other agency permit that may be
required. The project shall be subject to the conditions and limitations as specified therein, which includes a
condition to bring this project into compliance as described in Attachment D. The designated permit holder,
GPM Southeast, LLC ("Lessee"), shall be responsible for meeting the conditions and limitations specified therein.
As required for compliance, a copy of the lease agreement that outlines the responsibilities of the Lessee must be
kept with the permit and maintenance activity records.
10 D_r& North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources
./' Wilmington Regional Office 1127 Cardinal Drive Extension I Wilmington, North Carolina 28405
l�dMi.m�� / / 910.796.7215

State Stormwater Permit No. SW8 130516
Page 2 of 2
Please be aware that it is the responsibility of the permit holder, the Lessee, to notify the Division of any changes
in ownership and request an ownership/name change for the stormwater permit. However, if the lease agreement
or contract between the Lessee and Sandbar Portfolio Owner LLC ("Property Owner") is dissolved, cancelled or
defaults, and the Division is not notified by the Lessee to transfer the permit, then the responsibility for permit
compliance reverts to the Property Owner. A complete transfer request must be submitted to the Division within
30 days as described below otherwise the Property Owner will be operating a stormwater treatment facility
without a valid permit which is a violation of NC General Statue 143-215.1. Failure to transfer the permit may
result in appropriate enforcement action in accordance with North Carolina General Statute § 143-215.6A through
§ 143-215.6C being taken against the Property Owner.
This permit does not impose new or increased stormwater control requirements or design standards; it clarifies the
rules and requirements of this program to provide you with a better understanding of your obligations under this
permit. Failure to comply with these requirements will result in future compliance problems. Please note that this
permit is not transferable except after notice to and approval by the Division.
If you have any questions concerning this permit, please contact Steve Pusey in the Wilmington Regional Office,
at phone # [phone] or steven.pusey(2ncder.gov.
Sincerely, Cam., VA,
Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
Enclosures: Attachment A — Designer's Certification Form
Attachment C — Permitting History
Attachment D — Schedule of Compliance
copy of the'ransfer Application documents including Transfer Application Form, Operation & Maintenance Agreement,
mid certification(s)
copy of the latest compliance inspection report
DES/sgp: \\\Stormwater\Permits & Projects\2013\130516 HD\2022 06 permit 130516
cc: Wilmington Regional Office Stormwater File
North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources
.Wilmington Regional Office 1127 Cardinal Drive Extension I Wilmington. North Carolina 28405
910.796.7215

Post -Construction Stormwater Management
Permit No. SW8 130516
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
POST -CONSTRUCTION STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
GPM Southeast, LLC
Handy Mart - Highway 53
1476 Burgaw Highway (NC 53), Jacksonville, Onslow County
FOR THE
construction, operation and maintenance of a wet detention pond in compliance with the provisions of
Session Law 2008-211 and 15A NCAC 2H .1000 (hereafter separately and collectively referred to as
the "stormwater rules') as outlined in the application, approved stormwater management plans,
supplement, calculations, operation and maintenance agreement, recorded documents,
specifications, and other supporting data (the "approved plans and specifications') as attached and/or
on file with and approved by the Division of Energy. Mineral and Land Resources (the "Division" or
"DEMLR"). The project shall be constructed, operated and maintained in accordance with these
approved plans and specifications. The approved plans and specifications are incorporated by
reference and are enforceable part of this permit.
This permit shall be effective from the date of issuance until June 3, 2029 and shall be subject to the
following specified conditions and limitations. The permit issued shall continue in force and effect until
the permittee files a request with the Division for a permit modification, transfer, renewal, or
rescission; however, these actions do not stay any condition. The issuance of this permit does not
prohibit the Director from reopening and modifying the permit, revoking and reissuing the permit, or
terminating the permit for cause as allowed by the laws, rules, and regulations contained in Title 15A
NCAC 2H.1000 and NCGS 143-215.1 et.al.
CORRECTIONS NEEDED and SCHEDULE OF COMPLIANCE. To bring this project into compliance
with the Stormwater Regulations and design criteria, these deviations will be corrected within the
proposed schedule of compliance as documented in Attachment D. The schedule must be adhered to
unless an extension or revised plan of action is submitted and approved by the Division.
I. DESIGN STANDARDS
This permit is effective only with respect to the nature and volume of stormwater described in
the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater runoff as
described in Section 1.7 on page 2 of this permit. The stormwater control has been designed to
handle the runoff from 54,064 square feet of impervious area.
The drainage area will be limited to the amount of built -upon area indicated in Sections 1.2 and
1.8 of this permit, and per approved plans. The built -upon area for the future development is
limited to 500 square feet.
Page 1 of 5

Post -Construction Stormwater Management
Permit No. SW8 130516
4. A 50' wide vegetative buffer must be provided adjacent surface waters, measured horizontally
from and perpendicular to the normal pool of impounded structures, the top of bank of both
sides of streams and rivers and the mean high water line of tidal waters.
5. All stormwater collection and treatment systems must be located in either dedicated common
areas or recorded easements. The final plats for the project will be recorded showing all such
required easements, in accordance with the approved plans.
6. The runoff from all built -upon area within the permitted drainage area(s) of this project must be
directed into the permitted stormwater control system.
A vegetated filter strip is not required for this pond as it has been designed for a 90% total
suspended solids removal efficiency.
8. The following design criteria have been provided in the wet detention pond and must be
maintained at design condition:
a. Drainage Area, acres:
Onsite, ft2:
Offsite, ft2:
b. Total Impervious Surfaces, ft2:
Onsite, ft2:
Offsite, ft2:
C. Design Storm, inches:
d. Average Pond Design Depth, feet:
e. TSS removal efficiency:
f. Permanent Pool Elevation, FMSL:
g. Permanent Pool Surface Area, ft2:
h. Permitted Storage Volume, ft3:
i. Temporary Storage Elevation, FMSL:
j. Pre-dev. 1 yr-24 hr. discharge rate, cfs:
k. Controlling Orifice:
I. Orifice flowrate, cfs:
M. Permitted Forebay Volume, ft3:
n. Fountain Horsepower
o. Receiving Stream/River Basin:
P. Stream Index Number:
q. Classification of Water Body:
1.54
67,000
N/A
54,064
54,064
N/A
1.5
3.0
90
27.0
6.283
7,447
28.0
0.05
1.5"0 pipe
0.03
3,648
N/A
Blue Creek / White Oak
19-8
"SC: NSW"
II. SCHEDULE OF COMPLIANCE
1. The stormwater management system shall be constructed in its entirety, vegetated and
operational for its intended use prior to the construction of any built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of the system
will be repaired immediately.
3. The permittee shall at all times provide the operation and maintenance necessary to assure
that all components of the permitted stormwater system function at design condition. The
approved Operation and Maintenance Agreement is incorporated by reference into this permit
and must be followed in its entirety and maintenance must occur at the scheduled intervals.
4. Records of maintenance activities must be kept and made available upon request to
authorized personnel of the Division. The records will indicate the date, activity, name of
person performing the work and what actions were taken.
A copy of the lease agreement that outlines Lessee/Developer Name, operation and
maintenance responsibilities for this stormwater system must be kept with the permit and
maintenance activities records.
Page 2 of 5

Post -Construction Stormwater Management
Permit No. SW8 130516
6. A decorative spray fountain will not be allowed in the stormwater treatment system as the
permanent pool volume is less than 30,000 cubic feet.
The permittee shall submit to the Division an annual summary report of the maintenance
inspection records for each BMP. The report shall summarize the inspection dates, results of
the inspections, and the maintenance work performed at each inspection.
8. The facilities shall be constructed, operated and maintained in accordance with the provisions
of this permit, the approved plans and specifications, and the supporting documents attached
to this permit and on file with the Division.
9. Upon completion of construction, prior to issuance of a Certificate of Occupancy, and prior to
operation of this permitted facility, a certification must be received from an appropriate
designer for the system installed certifying that the permitted facility has been installed in
accordance with this permit, the approved plans and specifications, and other supporting
documentation. Any deviations from the approved plans and specifications must be noted on
the Certification. A modification may be required for those deviations.
10. No person or entity, including the permittee, shall alter any component shown in the approved
plans and specifications. Prior to the construction of any modification to the approved plans,
the permittee shall submit to the Director, and shall have received approval for modified plans,
specifications, and calculations including, but not limited to, those listed below. For changes to
the project or SCM that impact the certifications, a new or updated certification(s), as
applicable, will be required and a copy must be submitted to the appropriate DEQ regional
office upon completion of the modification.
a. Any modification to the approved plans and specifications, regardless of size including
the SCM(s), BUA, details, etc.
b. Redesign or addition to the approved amount of BUA or to the drainage area.
C. Further development, subdivision, acquisition, lease or sale of any, all or part of the
project and/or property area as reported in the approved plans and specifications.
d. Altering, modifying, removing, relocating, redirecting, regrading, or resizing of any
component of the approved SCM(s), the stormwater collection system and/or
vegetative conveyance shown on the approved plan.
e. The construction of any allocated future BUA.
f. The construction of any permeable pavement, #57 stone area, public trails, or
landscaping material to be considered a permeable surface that were not included in
the approved plans and specifications.
g. Other modifications as determined by the Director.
11. It is the responsibility of the permit holder, GPM Southeast, LLC ("Lessee"), to notify the
Division of any changes in ownership and request an ownership/name change for the
stormwater permit. However, if the lease agreement or contract between the Lessee and
Sandbar Portfolio Owner LLC ("Property Owner") is dissolved, cancelled or defaults, and the
Division is not notified by the Lessee to transfer the permit, then the responsibility for permit
compliance reverts to the Property Owner. A complete transfer request must be submitted to
the Division within 30 days as described below otherwise the Property Owner will be operating
a stormwater treatment facility without a valid permit which is a violation of NC General Statue
143-215.1. Failure to transfer the permit may result in appropriate enforcement action in
accordance with North Carolina General Statute §143-215.6A through §143-215.6C being
taken against the Property Owner,
12. If the stormwater system was used as an Erosion Control device, it must be restored to design
condition prior to operation as a stormwater treatment device, and prior to occupancy of the
facility.
13. Access to the stormwater facilities for inspection and maintenance shall be maintained via
appropriate recorded easements at all times.
Page 3 of 5

Post -Construction Stormwater Management
Permit No. SW8 130516
14. The Director may notify the permittee when the permitted site does not meet one or more of
the minimum requirements of the permit. Within the time frame specified in the notice, the
permittee shall submit a written time schedule to the Director for modifying the site to meet
minimum requirements. The permittee shall provide copies of revised plans and certification in
writing to the Director that the changes have been made.
III. GENERAL CONDITIONS
1; CORRECTIVE ACTIONS REQUIRED. If the facilities fail to perform satisfactorily, the
permittee shall take immediate corrective actions. This includes actions required by this
Division and the stormwater rules such as the construction of additional or replacement on -site
stormwater systems. These additional or replacement measures shall receive a permit from
the Division prior to construction.
Z PERMIT RENEWAL. A permit renewal request must be submitted at least 180 days prior to
the expiration date of this permit. The renewal request must include the appropriate
application, documentation and the processing fee as outlined in Title 15A NCAC
02H.1045(3).
3. CHANGES TO THE PROJECT NAME, PERMITTEE NAME OR CONTACT INFORMATION.
The permittee shall submit a completed Permit Information Update Application Form to the
Division within 30 days to making any one of these changes.
4. TRANSFER. This permit is not transferable to any person or entity except after notice to and
approval by the Director. Neither the sale of the project and/or property, in whole or in part, nor
the conveyance of common area to a third party constitutes an approved transfer of the permit.
a. TRANSFER REQUEST. The transfer request must include the appropriate application,
documentation and the processing fee as outlined in 15A NCAC 02H.1045(2). This
request must be submitted within 90 days of the permit holder meeting one or more of the
following:
i. A natural person who is deceased;
ii. A partnership, limited liability corporation, corporation, or any other business
association that has been dissolved;
iii. A person or entity who has been lawfully and finally divested of title to the property
on which the permitted activity is occurring or will occur through foreclosure,
bankruptcy, or other legal proceeding.
iv. A person or entity who has sold the property, in whole or in part, on which the
permitted activity is occurring or will occur;
V. The assignment of declarant rights to another individual or entity;
vi. The sale or conveyance of the common areas to a Homeowner's or Property
Owner's Association, subject to the requirements of NCGS 143-214.7(c2);
b. TRANSFER INSPECTION. Prior to transfer of the permit, a file review and site inspection
will be conducted by Division personnel to ensure the permit conditions have been met and
that the project and the on -site stormwater system complies with the permit conditions.
Records of maintenance activities performed to date may be requested. Projects not in
compliance with the permit will not be transferred until all permit and/or general statute
conditions are met.
COMPLIANCE. The permittee is responsible for compliance with the terms and conditions of
this permit until the Division approves the transfer request.
a. APPROVED PLANS AND SPECIFICATIONS. A copy of this permit, approved plans,
application, supplement, operation and maintenance agreement, all applicable
recorded documents, and specifications shall be maintained on file by the permittee at
all times.
b. DIVISION ACCESS. The permittee grants Division Staff permission to enter the
property during normal business hours to inspect all components of the permitted
project.
Page 4 of 5

Post -Construction Stormwater Management
Permit No. SW8 130516
c. ENFORCEMENT. Any individual or entity found to be in noncompliance with the
provisions of a stormwater management permit or the requirements of the stormwater
rules is subject to enforcement procedures as set forth in NCGS 143 Article 21.
d. ANNUAL CERTIFICATION. The permittee shall electronically submit to the Division an
annual certification completed by either the permittee or their designee confirming the
projects conformance with permit conditions
e. OBTAINING COMPLIANCE. The Director may notify the permittee when the permitted
site does not meet one or more of the minimum requirements of the permit. Within the
time frame specified in the notice, the permittee shall submit a written time schedule to
the Director for modifying the site to meet minimum requirements. The permittee shall
provide copies of modified plans and certification in writing to the Director that the
changes have been made.
f. OTHER PERMITS. The issuance of this permit does not preclude the permittee from
complying with and obtaining any other permits or approvals that are required for this
development to take place, as required by any statutes, rules, regulations, or
ordinances, which may be imposed by any other Local, State or Federal government
agency having jurisdiction. Any activities undertaken at this site that cause a water
quality violation or undertaken prior to receipt of the necessary permits or approvals to
do so are considered violations of NCGS 143-215.1, and subject to enforcement
procedures pursuant to NCGS 143-215.6.
Permit transferred, updated and reissued this the 22nd day of June 2022.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
rj�uf__ )�'Y
.N,Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Page 5 of 5

Post -Construction Stormwater Management
Permit No. SW8 130516
Attachment A
Handy Mart Highway 53
Stormwater Permit No. SW8 130516
Onslow County
Designer's Certification
I, , as a duly registered in the State
of North Carolina, having been authorized to observe (periodically/ weekly/ full time) the
construction of the project,
roject)
for (Project Owner) hereby state that, to the best
of my abilities, due care and diligence was used in the observation of the project construction
such that the construction was observed to be built within substantial compliance and intent
of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specifications:
Signature
Registration Number
Date
SEAL
Pagel of 2

Post -Construction Stormwater Management
Permit No. SW8 130516
Certification Requirements:
1. The drainage area to the system contains approximately the permitted acreage.
2. The drainage area to the system contains no more than the permitted amount
of built -upon area.
3. All the built -upon area associated with the project is graded such that the runoff
drains to the system.
4. All roof drains are located such that the runoff is directed into the system.
5. The outlet structure elevations are per the approved plan.
6. The outlet structure is located per the approved plans.
7. Trash rack is provided on the outlet structure.
8. All slopes are grassed with permanent vegetation.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-circuiting
of the system.
11. The permitted amounts of surface area and/or volume have been provided.
12. Required drawdown devices are correctly sized and located per the approved
plans.
13. All required design depths are provided.
14. All required parts of the system are provided, such as a vegetated shelf, and a
forebay.
15. The required system dimensions are provided per the approved plans.
16. All components of the stormwater BMP are located in either recorded common
areas, or recorded easements.
cc: NC DEQ / DEMLR Regional Office
Onslow County Building Inspections
Page 2 of 2

Attachment C - Permitting History
Handy Mart Hwy 53
Permit No. SW8 130516
Approval
Permit Action
RIMS
Description of the Changes
Date
Original
6/3/2013
Approval
10
An increase in the drainage area
and amount of impervious area.
The previously approved wet
detention pond has been
5/14/2015
Modification
1.1
demonstrated to be capable of
handling the increased runoff with
a slight increase in the orifice
diameter (from 1.0" to 1.5").
9/2/2021
Renewal
2.0
Permit updated, and transferred to
a new lessee / owner with
6/22/2022
Transfer
2.1
Attachment D, Schedule of
Compliance.

AGPM
I N V E S T M E N T S
8565 Magellan Parkway, Ste 400, Richmond, Virginia 23227 Phone: [phone] Fax: [phone]
March 29, 2022
Steven G. Pusey
Division of Energy, Mineral and Land Resources
State Stormwater Program
North Carolina Department of Environmental Quality
Wilmington Regional Office
127 Cardinal Drive Ext., Wilmington, NC 28405
Regarding: Stormwater Permit Transfer - SW8130516
Dear Mr. Pusey:
Following up on the Compliance Inspection issues found on the Storm Water Pond at 1476 Burgaw Hwy,
Jacksonville NC 28540.
As per our conversation GPM Investments, LLC is working on resolving the issues identified and will
bring this pond into full compliance with NC DENR regulations.
I want to take this opportunity to thank you for your assistance and the information you provided on the
company that originally designed the SW Crystal Coast Engineering and the Engineer, David Newsome
As discussed, we will be contacting Crystal Coast to review issues and deviations from the Plans. As you
know these repairs are going to take some time to ensure we get this resolved correctly and permanently.
We are requesting an extension with a completion date of July 15, 2022.
Plan of Action:
• Review As Built Plans with both Crystal Coast Engineering and Storm Water Solutions
• Develop new design that will meet NC DENR standards and regulations
• Submit scope and plan to NC DENR for prior approval
• Complete repairs as per approved scope and plans by July 15, 2022
• Notify NC DENR repairs are completed and SWP is ready for re -inspection
Sincerely,
Ed Garronbone
Ed Garronbone
Senior Project Manager
804-314-5328
egarronbone tap pin investments.com

Operation & Maintenance Aareement
Project Name:
Project Location:
Handy Mart Hwy 53 Sw8 1305-14
1476 Burgaw Hwy, Jacksonville, NC 28540
I Cover Page I
Maintenance records shall be kept on the following SCM(s). This maintenance record shall be kept in a log in a known set location.
Any deficient SCM elements noted in the inspection will be corrected, repaired, or replaced immediately. These deficiencies can
affect the integrity of structures, safety of the public, and the pollutant removal efficiency of the SCM(s).
The SCM(s) on this project include (check all that apply &
Infiltration Basin Quant
Infiltration Trench Quant
Biorelention Cell Quani
Wet Pond
Stormwater Wetland
Permeable Pavement
Sand Filter
Rainwater Harvesting
Green Roof
Level Spreader - Filter Strip
Proprietary System
Treatment Swale
Dry Pond
Disconnected Impervious Surface
User Defined SCM
Low Density
C
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Present: No
Present: I No
Present: No
O&M sheets will
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Type:
I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed for
each SCM above, and attached O&M tables. I agree to notify NCDEQ of any problems with the system or prior to any changes to
the system or responsible party.
Responsible Party:
Title & Organization:
Street address:
City, state, zip:
Phone number(s):
Email:
Signature:
GPM Southeast, LLC
By: Donald Bassett, CFO, GPM Southeast, LLC
65 Magellan Pkwy, Suite 400
FtLctmoncl, VA 23227
�01 730 1568
[e-mail]
kI
Date: 03IS� 2C22—
I, Pa Chu A �1 Y-c y a Notary Public for the State of
County of kny'i ( o do hereby certify that CTn L A f ,�-fj I , (�
personally appeared before me this �_ day of M(Q V (A-� %n 2 9 and
acknowledge the due execution of the Operations nd ai tenance Agreement
.
Witness my hand and official seal,
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O&M Agreement Page 1 of 1

.1
Z - 51;(eel

Wet Pond Maintenance Requirements 5 W 4 C3 © d b
Important operation and maintenance procedures:
Immediately after the wet detention basin is established, the plants on the vegetated shelf and
perimeter of the basin should be watered twice weekly if needed, until the plants become
established (commonly six weeks).
No portion of the wet pond should be fertilized after the initial fertilization that is required to establish
the plants on the vegetated shelf.
Stable groundcover will be maintained in the drainage area to reduce the sediment load to the wet
pond.
If the pond must be drained for an emergency or to perform maintenance, the flushing of sediment
through the emergency drain will be minimized as much as possible.
At least once annually, a dam safety expert will inspect the embankment. Any problems that are
found will be repaired immediately.
The measuring device used to determine the sediment elevation shall be such that it will give an
accurate depth reading and not readily penetrate into accumulated sediments.
After the wet pond is established, it will be inspected quarterly and within 24 hours after every storm event greater
than 1.0 inches (or 1.5 inches if in a Coastal County). Records of operation and maintenance shall be kept in a
known set location and shall be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall be repaired immediately.
SCM element:
Potential problem:
How to remediate the problem:
The entire wet pond
Trash/debris is present.
Remove the trash/debris.
The perimeter of the wet
Areas of bare soil and/or
Regrade the soil if necessary to remove the gully, plant ground
pond
erosive gullies have
cover and water until it is established. Provide lime and a one -
formed.
time fertilizer application.
The inlet pipe is clogged
(if applicable).
Unclog the pipe. Dispose of the sediment off -site.
The inlet pipe is cracked
The inlet device
or otherwise damaged (if
Repair or replace the pipe.
applicable).
Erosion is occurring in the
Regrade the swale if necessary and provide erosion control
swale (if applicable).
devices such as reinforced turf matting or riprap to avoid future
problems with erosion.
Sediment has
accumulated to a depth
Search for the source of the sediment and remedy the problem
greater than the original
if possible. Remove the sediment and dispose of it in a
design depth for sediment
location where it will not cause impacts to streams or the SCM.
storage.
The forebay
Provide additional erosion protection such as reinforced turf
Erosion has occurred.
matting or riprap if needed to prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by hand. If pesticide is used,
wipe it on the plants rather than spraying.
bK"AR. 2 4 21Za
By:

Wet Pond Maintenance Requirements (Continued) •
SCM element:
Potential problem:
How to remediate the problem:
Sediment has
accumulated to a depth
Search for the source of the sediment and remedy the problem
greater than the original
if possible. Remove the sediment and dispose of it in a
design sediment storage
location where it will not cause impacts to streams or the SCM.
depth.
Algal growth covers over
Consult a professional to remove and control the algal growth.
The main treatment area
50 /o of the area.
Cattails, phragmites or
other invasive plants
Remove the plants by wiping them with pesticide (do not
cover 50% of the basin
spray).
surface.
Best professional
practices show that
pruning is needed to
Prune according to best professional practices.
maintain optimal plant
health.
Determine the source of the problem: soils, hydrology,
The vegetated shelf
Plants are dead, diseased
disease, etc. Remedy the problem and replace plants.
or dying.
Provide a one-time fertilizer application to establish the ground
cover if a soil test indicates it is necessary.
Weeds are present.
Remove the weeds, preferably by hand. If pesticide is used,
wipe it on the plants rather than spraying.
Shrubs have started to
Remove shrubs immediately.
grow on the embankment.
Evidence of muskrat or
Consult a professional to remove muskrats or beavers and
beaver activity is present.
repair any holes or erosion.
A tree has started to grow
Consult a dam safety specialist to remove the tree.
The embankment
on the embankment.
An annual inspection by
an appropriate
professional shows that
Make all needed repairs immediately.
the embankment needs
repair.
Clogging has occurred.
gg g
Clean out the outlet device and dispose of any sediment in a
location where it will not cause impacts to streams or the SCM.
The outlet device
The outlet device is
Repair or replace the outlet device.
damaged.
Weeds or volunteer trees
Remove the weeds or trees.
are growing on the mat.
a
Floating wetland island
(if applicable)
The anchor cable is
damaged, disconnected or
Restore the anchor cable to its design state.
missing.

Wet Pond Maintenance Requirements (Continued)
SCM element:
Potential problem:
How to remediate the problem:
Erosion or other signs of
damage have occurred at
Repair the damage and improve the flow dissipation structure.
the outlet.
Discharges from the wet
The receiving water
pond are causing erosion
Contact the local NCDEQ Regional Office.
or sedimentation in the
receiving water.
EcEp c-

I Wet Detention Pond Design Summary
Pretreatment other Pq
thanforebay?
Has Veg. Filter?
Permanent Pool El.
Temporary Pool El:
Clean Out Depth: 0
Sediment Removal E
Bottom Elevation:
Permanent Pool El.
Temporary Pool El:
Clean Out Depth: aj
Sediment Removal E
Bottom Elevation:

DEMLR USE ONLY
Date R ceiv d
Fee Paid
Permit Number
k1 4
0" /00 1!a D�
W $ 05
NC DEQ Division of Energy, Mineral and Land Resources
STATE STORMWATER:
PERMIT TRANSFER APPLICATION FORM
Pursuant to 15A NCAC 02H.1045 and otherapplicable statues as reference within
Only complete applications packages will be accepted and reviewed. This form and the required items (with
original signatures) must be sent to the appropriate DEMLR Regional Office, which can be determined by locating
the project on the interactive online map at: htto.//deo.nc.00v/contacbreoional-offices.
After this application is accepted, DEMLR will conduct a compliance inspection and report any deficiencies to the
current permittee and/or the proposed permittee. Per the state stormwater rules and the state stormwater permit
conditions, the permit shall not be transferred until:
1. the current permittee resolves all non-compliance issues identified in the inspection report;
2. the current permittee negotiates a resolution with the proposed permittee (in writing and signed by both
entities. The negotiated resolution must identify the necessary actions, the responsible party(ies), and the
timelines to correct the deficiencies. The site must either be found in compliance or a copy of the
negotiated resolution must be submitted prior to the transfer of the permit.); or
3. in the case where a transfer falls under G. S. 143-214.7(c2) (see also SL 2011-256), the proposed
permittee resolves all non-compliance issues upon acquiring the permit.
Signature requirements for the named signing official (for current and proposed permittee) must meet the following:
• Corporation - a principal executive officer of at least the level of vice-president;
• Limited Liability Company (LLC) - the designated manager, (Documentation from the NC Secretary of
State or other official documentation must be provided that states the titles and positions held by the
person who signed the application (pursuant to 02H.1040) that shows they have legal authority to sign for
the LLC)
• Municipality - a ranking official or duly authorized employee;
• Partnership or limited partnership - the general partner,
• Sole proprietor,
• The signature of the consultant or other agent shall be accepted on this permit transfer application only if
accompanied by a letter of authorization signed by one of the signatories noted in a-e above, as
applicable.
A. GENERAL INFORMATION
1. State Slormwater Permit Number:
2. Project name: Handy Mart Highway 53
Is this an updated project name from the current permit? ❑ Yes ® No
3. Reason for the permit transfer request:
Property conveyance through sale of Handy Mart 174
otC 10 2021
BY.
Stormwater Permit Transfer Application Form Page 1 of 7 April 27, 2018

B. PERSON(S) WHO HAVE SIGNED THIS FORM (select only one response below)
❑ 1. Both the current and proposed permittees
❑ 2. Only the current permittee of a condominium or planned community (skip Part F & G).
In accordance with G. S. 143-214.7(c2) (see also SL 2011-256), this type of transfer is allowed only
when all of the following items can be truthfully checked:
❑ Any common areas related to the operation and maintenance of the stormwater management
system have been conveyed to the unit owners' association or owners' association in
accordance with the declaration;
❑ The declarant has conveyed at least fifty percent (50%) of the units or lots to owners other than
a declarant (provide documentation per submittal requirements below);
❑ The stormwater management system is in compliance with the stormwater permit.
NOTE: If subdivision was built prior to 1999, the Declarant's Attorney can make a determination that
the elements of the Planned Community Act (see §47F) have been met by the Declarant for the
subdivision. If the Declarant chooses to use this type of transfer, the determination must be in
writing, signed by the attorney, and submitted to DEMLR with this form.
® 3. Only the proposed permittee (skip Part D below).
In accordance with G.S. 143-214.7(c5) (see also SL 2013-121), this type of transfer is allowed only
when all of the following items can be truthfully checked:
® a. The proposed permittee is either (select one of the following):
❑ The successor -owner who holds title to the property on which the permitted activity is
occurring or will occur;
® The successor -owner who is the sole claimant of the right to engage in the permitted
activity.
® b. The current permittee is (select at least one of the following, but all that apply):
❑ A natural person who is deceased.
❑ A partnership, Limited Liability Corporation, corporation, or any other business
association that has been dissolved
❑ A person who has been lawfully and finally divested of title to the property on which the
permitted activity is occurring or will occur.
® A person who has sold the property on which the permitted activity is occurring or will
occur.
❑ Other (please explain):
® c. The proposed permittee agrees to the following requirements (all must be selected):
® There will be no substantial change in the permitted activity.
® The permit holder shall comply with all terms and conditions of the permit until such
time as the permit is transferred.
® The successor -owner shall comply with all terms and conditions of the permit once the
permit has been transferred.
V I
DEC 10 2021
Stormwater Permit Transfer Application Form Page 2 of 7 April 27, 2018

C. SUBMITTAL REQUIREMENTS
Please mark "Y" to confirm the items are included with this form. Please mark 'X" if previously provided. If not
applicable or not available, please mark N/A.:
1. A processing fee of five hundred and five dollars ($505.00) per G.S. 143-215.3D(e)(2).
2. Two hard copies (with original signatures) and one electronic copy of this completed form and the
required items.
3. For proposed permitlees that are corporations or LLC's, documentation from the NC Secretary of
State demonstrating that the proposed permittee is a legal and viable entity able to conduct
business in North Carolina.
Nh% 4. If Part B, Items 1 or 3 of this form is selected, the signed and notarized
applicable O&M agreement(s) from the proposed permittee, as required by the permit.
5. Legal documentation that the property has transferred to the proposed permittee (such as a
recorded deed for the property, uncompleted development and/or common areas) or legal
documentation demonstrating that the proposed permittee is the sole claimant of the right to
engage in the permitted activity.
Ntn 6. If required by the permit and if the project has been built, a signed, sealed and dated certification
document from a licensed professional stating that the stormwater management system has been
inspected and that it has been built and maintained in accordance with the approved plans.
N/A 7. A copy of the recorded covenants and deed restrictions, if required by the permit. If the project has
been built, documentation that the maximum allowed per lot built -upon area or the maximum
allowed total built -upon area has not been exceeded. If the project has not been built, the new
owner shall provide a signed agreement to submit final recorded deed restrictions and protective
covenants.
N/A 8. If transferring under G.S. 143-214.7(c2) (i.e., Part B, Item 2 of this form is selected),
documentation verifying that 50% or more of the lots have been conveyed to individuals (not
builders). Copies of the deeds of conveyance or a chart listing the lot number, lot address,
owner's name, conveyance date and deed book and page number are acceptable.
Nh% 9. If transferring under G.S. 143-214.7(c5) (i.e., Part B, Item 3 of this form is selected), provide legal
documentation supporting the dissolution of the corporation or documentation supporting the
current permittee was lawfully and finally divested of title of the property.
1_ 10. A copy of the lease agreement if the proposed permittee is the lessee.
L[y 11. A copy of the pending sales agreement if the proposed permittee is the purchaser.
12. A copy of the development agreement if the proposed permittee is the developer.
L'�G 10 2021
BY:
Slormwater Permit Transfer Application Form Page 3 of 7 April 27, 2018

D. CURRENT PERMITTEE INFORMATION AND CERTIFICATION Please be sure to provide Email.
1. Current Permit Holder's Company Name/Organization:
2. Signing Official's Name:
3. Signing Official's Title:
4. Mailing Address:
City: State: ZIP :
5. Street Address:
City: State: ZIP
6. Phone: (_) Email:
I, , the current permittee, am submitting this application for a
transfer of ownership for the above listed stormwater permit under the General Statute and Session Law identified
on Page 1 of this application. I hereby notify DEMLR of the sale or other legal transfer of the property/project
and/or the stormwater system associated with this permit. I have provided a copy of the following documents to
the proposed permittee named in this application form: (select all that apply)
❑ the most recent permit;
❑ the designer's certification for each SCM;
❑ any recorded deed restrictions, covenants, common areas, drainage easements or plats;
❑ the approved plans and/or approved as -built plans;
❑ the approved operation and maintenance agreement;
❑ past maintenance records from the previous permittee (where required);
❑ a copy of the most recent inspection report;
I further attest that this application and request for a permit transfer is accurate and complete to the best of my
knowledge. I attest that I have provided all of the required items per the law to transfer this permit. I understand
that if all required parts of this request are not completed or if all required supporting information and attachments
listed above are not included, this request package will be returned as incomplete I assign all rights and
obligations as permittee to the proposed permittee named below. I understand that this request to transfer the
permit may not be approved by the DEMLR unless and until the facility is in compliance with the permit.
Signature:
Date:
I, , a Notary Public for the State of
that
this the
day of
County of
execution of the forgoing instrument. Witness my hand and official seal,
(Notary Seal)
Notary Signature:
My commission expires
Stormwater Permit Transfer Application Form
Page 4 of 7
do hereby certify
personally appeared before me
20 , and acknowledge the due
w�
►��� 10 2021
April 27, 2018

E. PROPOSED PERMITTEE INFORMATION
The proposed permittee is the:
❑ Property owner (Also complete Part F.)
❑ Home Owners Association (HOA), Property Owners Association (PDA), or Unit Owner Association
(UOA) (Also complete Part F.)
Lessee - Attach a copy of the lease agreement. Both the lessee and the property owner will appear on
the permit as co-permittees. If the lease is terminated, responsibility for the permit reverts to the property
owner. (Also complete Parts F & G.)
❑ Purchaser -Attach a copy of the pending sales agreement. The permit will require submission of a copy
of the recorded deed after the purchase has taken place. If the purchase agreement is cancelled the
permit reverts to the property owner. (Also complete Parts F & G.)
❑ Developer - Attach a copy of the development agreement. Both the developer and the property owner
will appear on the permit as co-permittees. If the development agreement is terminated, responsibility for
the permit reverts to the property owner. (Also complete Parts F & G.)
2. Proposed permittee name (check one of the following and provide the name):
Corporation, LLC, Partnership, Municipality name: GPM Southeast, LLC
❑ HOA / POA / UOA name:
❑ Sole Proprietor
3. Proposed permittee contact information:
Please be sure to provide Email.
a. Signing Official's Name: Donald Bmsell
b. Signing Official's Title: CFO
c. Mailing Address: 8565 Magellan PkwV, Ste 400
City: Richmond State: VA ZIP : 23227
d. Street Address: 8565 Magellan PkwV, Ste 400
City: Richmond State: VA ZIP: 23227
e. Phone: [phone] Email: [e-mail]
4. If there is a Management Entity that manages the property for an HOA, PDA or UOA, please provide:
Please be sure to provide Email. N/A
a. Management Company or Business name:
b. Contact Name:
c. Mailing Address:
d. City:
e. Phone: (_) Email:
Title:
GEC 102021
ZIP:
Stormwaler Permit Transfer Application Form Page 5 of 7 April 27, 2018

F. PROPOSED PERMITTEE CERTIFICATION
I, crrol tiaumcasr, 1.1.c by Donald Bamell, CFO , hereby notify the DEMLR that I have acquired through sale, lease,
development agreement, or other legal transfer, the project/property covered by the stormwater management
permit and/or the responsibility for constructing and/or operating and maintaining the permitted stormwater
management system. I acknowledge and attest that I have received a copy of: (select all that apply):
the most recent permit;
the designer's certification for each SCM;
any recorded deed restrictions, covenants, common areas, drainage easements or plats;
❑ the approved plans and/or approved as -built plans;
❑ the approved operation and maintenance agreement;
❑ past maintenance records from the previous permittee (where required);
❑ a copy of the most recent inspection report;
XCheck here if the proposed permittee agrees to be the entity responsible for addressing any compliance
issues outlined in the Compliance Inspection Report. If checked, the proposed permittee must provide a
written document statement, with a "plan of action and schedule" addressed to this office stating that they will
bring the project into compliance upon receipt of the transferred permit. This written "plan of action and
schedule" must be received by the Division before the Division will transfer the permit.
I have reviewed the permit, approved plans and other documents listed above, and I acknowledge that I will
comply with the terms and conditions f the permit. I will construct the project's built -upon area as shown on the
approved plans; and I will (construct}, erate and maintain the approved stormwater management system
pursuant to the requirements listed i th permit
/and
�in the operation and maintenance agreement.
Signature: _ All L' Date: I I 1.11
1 It (
I, i' 1(Annuo V UI YiieS , a Notary Public for the State off n 101
County of I Itm (co do hereby certify that 17- CYt % 1
personally appeared before me this the IU� day of N (A/ LM�CT_, 202L, and
acknowledge the due execution of the forgoing instrument. Witness my hand and official seal,
(Notary Seal)
Notary Signature I. a /A f �
My commission expires K&Mbcv 30 ,1,Otii 4
DEC 10 2021
BY.
-
ON
NO yo:
Tqq �: y
.� 1
'a 30.20ZN'\*\P`��
H OF NA 0��
'1f1111110
Slormwater Permit Transfer Application Form Page 6 of 7 April 27, 2018

G. PROPERTY OWNER INFORMATION AND CERTIFICATION
Fill out this section only if the property owner is different from the proposed permittee. The permit will revert to
the property owner if the purchase agreement, development agreement or lease expires or is terminated.
Company Name/Organization: Sandbar Portfolio Owner LLC
Off; 1' P ' t d N Marc Zahr
Signing cia s rin a ame.
Signing Official's Title: Member
Mailing Address: 125 South Wacker Drive Suite 1220
City: Chicago State:
Phone: [phone] Email: [e-mail]
I I- ZIP:
Marc Zahr
I, ,hereby certify that I currently own the property identified in
this permit transfer document and acknowledge that the Proposed Permittee listed in Part F will be purchasing the
property, developing the property on my behalf, and/or leasing the property from me. A copy of the purchase
agreement, development agreement or the lease agreement, which names the party responsible for the
construction and/or operation and maintenance of the stormwater system, has been provided with the permit
transfer request.
I agree to notify DEMLR within 30 days if there are any changes to the purchase, developer or lease agreements
and will submit the applicable completed and signed Permit Information Update Form, or Permit Transfer
Application Form to address these changes. As the legal property owner, I acknowledge, understand, and agree
by my signature below, that the permit will revert to me and I will be responsible for complying with the DEMLR
Stormwater permit if the property purchase, lease or developer agreement/contract is cancelled or defaults. I
understand that any individual or entity found to be in noncompliance with the provisions of the stormwater
management permit or the stormwate7777
ant action as set forth in NC General Statute
(NCGS) 143, Article 21. Signature of the property owner Date: 3/15/2022
1, sea i a Notary Public for the State of
Illinois ok
Marc Zahr
o , do hereby certify that
personally appeared before me this the 15th day of
March 20 22 , and acknowledge the due execution of the forgoing instrument. Witness
my hand and official seal,
County of
(Notary Seal) HEATHER PATRICIA BEAR
Official Seal
Notary Public - State of Illinois
My Commission Expires Feb 10, 20"<4
Notary Signature
V'-AA
My commission expires_
ND: 4831-9449-4206, v. 1
ECEIVE
'' MAR 18 2022
BY:-.
Stormwater Permit Transfer Application Form Page 7 of 7 April 27, 2018

Permit
(to be provided by DWO)
Ore F W ATE;9
NCDENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Pad 111) must be printed, filled out and submitted along with all of the required information.
Project name
Contact person
Phone number
Date
Drainage area number
Site Characteristics
Drainage area
Impervious area, post -development
%impervious
Design rainfall depth
Storage Volume: Non -SA Waters
Minimum volume required
Volume provided
Storage Volume: SAWalers
1.5' runoff volume
Pre -development 1-yr, 24-hr runoff
Post -development 1-yr, 24-hr runoff
Minimum volume required
Volume provided
Peak Flow Calculations
Is the pre/post control of the 1 yr 24hr storm peak flow required?
1-yr, 24-hr rainfall depth
Rational C, pre -development
Rational C, post -development
Rainfall intensity: 1-yr, 24-hr storm
Pre -development 1-yr, 24-hr peak flow
Post -development 1-yr, 24-hr peak flow
PrelPost 1-yr, 24-hr peak flow control
Elevations
Temporary pool elevation
Permanent pool elevation
SHWT elevation (approx. at the perm. pool elevation)
Top of 10t vegetated shelf elevation
Bottom of 1 Oft vegetated shelf elevation
Sediment cleanout, top elevation (bottom of pond)
Sediment cleanou6 bottom elevation
Sediment storage provided
Is there additional volume stored above the state -required temp. pool?
Elevation of the top of the additional volume
1 and only
David
67,000 t'
54,064 e
80.69 %
1.5 in
6,501 to
7,447 t' OK, volume provided is equal to or in excess of volume required.
it,
t'
-to
it,
it,
Y (Y or N)
3.7 in
0.20 (unittess)
0.72 (unitless)
0.15 inthr OK
0.05 t'isec
0.17 t'Isec
0.12 e'Ican
28.00 mnsl
27.00 hnsl
fmsl
a
27.50 hmsl
26.50 mist
Data not needed for calculation option #1, but OK if provided.
18.50 (msl
17.50 mnsl
Data not needed for calculation op8on #1, but OK if provided.
1.00 It
N (Y or N)
mnsl
•
EGE((�� pp��OW p yE
_
FEB 18 2015
BY:
Form SW401 Met Deten1 on Basin-Rev.94118112 Paris I. a II. Design Summary, Page 1 of 2

Permit No.
(to be p.,,d d by DINO)
Area, temporary pool
8,217 ft2
Area REQUIRED, permanent pool
6,285 ft'
9.38 (unittess)
SAIDA ratio
6,283 fl
Area PROVIDED, permanent pool, Ar,,,, a
3,387 fe
Area, bottom of loft vegetated shelf. Aw, m,n
too ft
Area, sediment cleanout, top elevation (bottom of pond), k.�
Volumes
Volume, temporary pool
7.447 ft'
Volume, permanent pool, Vo _pw
19,108 ft'
Volume, forebay (sum of forebays if more than one forebay)
3,648 ft'
Forebay %of permanent pool volume
19.1% %
Insufficient permanent pool surface area
Ce73
OK
SAIDA Table Data
90 %
Design TSS removal
Y (Y or N)
Coastal SAIDA Table Used?
N (Y or N)
Mountain/Piedmont SAIDA Table Used?
9.38 (unitless)
SAIDA ratio
Average depth (used in SAIDA table):
Y (Y or N)
Calculation option 1 used? (See Figure 10-2b)
ft'
Volume, permanent pool. V,,,,,,_ d
19.108
Area provided, permanent pool. Ap„,,, w
6,283 fe
Average depth calculated
3.04 It OK
Average depth used in SAIDA, d„, (Round to nearest 0.5ft)
3.0 It OK
Calculation option 2 used? (See Figure 10-2b)
N (Y or N)
6,283 ft'
Area provided, permanent pool. Ar,,,,,_,1
Area, bottom of loft vegetated shelf, A,,"
3,387 ft'
Area, sediment cleanout, top elevadon (bottom of pond), Ab,,-0
100 111
'Depth' (distance blw bottom of loft shelf and top of sediment)
Boo It
Average depth calculated
It
Average depth used in SAIDA, d„, (Round to down to nearest 0.511)
It
Drawdown Calculations
Y (Y or N)
Drawdown through orifice?
Diameter of orifice (if circular)
1.50 in
in'
Area of orifice (if -non -circular)
Coefficient of discharge (Co)
0.03 (unitiess)
Driving head (He)
0.33 It
Drawdown through weir?
N (Y or N)
Weir type
(unidess)
Coefficient of discharge (C.)
(unitiess)
Length of weir (L)
ft
If
Driving head (H)
0.05 ft'Isec
Pre -development 1-yr, 24.hr peak flow
Post -development 1-yr, 24-hr peak Bow
0.16 ft'Isec
Storage volume discharge rate (through discharge orifice or weir)
0.03 ft'Isec
2.29 days
OK, draws darn in 2-5 days.
Storage volume drawdown time
Additional Information
3 :1
OK
Vegetated side slopes
10 :1
OK
Vegetated shelf slope
10.0 It
OK
Vegetated shelf width
Length of ftowpath to width ratio
4.0 :1
OK
yp— '
P=' gper= H p� /y
'drJ
Length to width ratio
Y (Y or N)
OK
p
Trash rack for overflow & orifice?
Freeboard
1.0 It
OK
FEB 18 2015
provided
N (Y or N)
OK
ri
Vegetated filter provided?
Y (Y or N)
OK
Recorded drainage easement provided?
Y (Y or N)
OK
Capures all runoff at ultimate build -out?
BY:
Drain mechanism for maintenance or emergencies is:
Pump
Pans I. & II. Design Summery, Page 2 of 2
Form SW40LWel Detention Basin-Rev94118112

�ww w............. ....... 0-.. �... _, --- .....
Permit No. SW8130516
Handy Mart Highway 53
Stormwater Permit No. SW8 130516
Onslow County
Designers Certification
/lZas a duly registered r�ir r, ; �,c/err jaJn the
State of North Carolina, having been authorized to observe (penodicaliy/ weekly/ full
time) the construction of the project,
for — (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of Items on page 2 of this form is included In the Certification.
Noted deviations from approved plans and specifications:
CAq
:Q
Signature = Sits
18148
Registration Num erg
Date K. NV
ece'VE
Page 6 of 7

.68E L 0} l
l)fl''1j r'•�,r Yh ij 191 *;Cj �1^L
N?
y
f F '
r .I,

0WLW O1V11111n0&=1 WM11=UW1=4%JrO1011M
Permit No. SW 18 30516
Certification Requirements:
The drainage area to the system contains approximately the permitted
acreage.
L12..& The drainage area to the system contains no more than the permitted
amount of built -upon area.
All the built -upon area associated with the project is graded such that the
runoff drains to the system.
/�4- Ali roof drains are located such that the runoff is directed into the system.
l.xtAz5. The outlet structure elevations are per the approved plan.
ZZ6. The outlet structure is located per the approved plans.
D,W17. Trash rack is provided on the outlet structure.
DZLI-8- All slopes are grassed with permanent vegetation.
A�x'4-,9z. Vegetated slopes are no steeper then 3:1.
0. The Inlets are located per the approved plans and do not cause short-
circuiting of the system.
1. The permitted amounts of surface area and/or volume have been
provided.
QjZ 12. Required drawdown devices are correctly sized and located per the
approved plans;
p 13. All r7c g� *l :.leSlgn. depths are provided. ?e.-Adk4 �'�✓/per
;t,W4, Ali requited parts of the system are provided, such as a vegetated shelf,
and a forebay-
5. The r�qu)red system dimensions are provided per the approved plans.
447y ,�r�16. All cornpgnbnts of the stormwater BMP are located in either recorded
1 Z— common areas; or rsoorded easements.
cc: NCDENR-DWQ Regional Office
Onslow County Building Inspections
Pape 7 of 7

ti♦ - -x
. irR• 1'It.11cl -r ..cric r- r nl tot s.